 The present systematic review and meta-analysis compared the safety and efficacy of laminoplasty, LP, and laminectomy, LE, for treating primary spinal cord tumors, PSCTs, in adult patients. LP is a less invasive procedure than LE, but its use has been limited due to concerns about its safety and effectiveness. This study found that LP was associated with fewer complications and shorter hospital stays than LE, but the results should be interpreted with caution as they are based on only a few small studies with limited data. Further randomized controlled trials are needed to provide more conclusive evidence regarding the relative merits of LP versus LE. This article was authored by Vadim Bivaltsev, Roman Polkin, Andriy Kalinin, and others.